NPI | 1326591652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111702) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2016-08-03 |
Last Update Date | 2024-09-11 |